Four Seasons Allergy and Asthma Clinic PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

E6518 Issued in AR

Legal business name

FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA

Practice address

11614 Huron LN Ste a
Little Rock, AR 72211-1896

Phone

(501) 221-1956

Fax

(501) 219-2327

NPI assigned

Jun 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teresa Renee Jeffers, M DNPI 1871717033

Title

President/Owner

Phone

(501) 221-1956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Renee Jeffers, MD

  • Allergy Physician
  • Little Rock, AR
  • NPI 1871717033

  Allergy, AR

  Medicare reassignment NPD Authorized official
• Tracy R Lamey, APRN

  • Nurse Practitioner
  • Conway, AR
  • NPI 1184608754

  AR

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1265727259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 HURON LN STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111896",
            "telephone_number": "501-221-1956",
            "fax_number": "501-219-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 HURON LN STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111896",
            "telephone_number": "501-221-1956",
            "fax_number": "501-219-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "501-221-1956",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AR",
            "license": "E6518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Massey Foti, L.P.E.
• Wendy D Founds
• Dearius Fountain, QBHP
• Trenn Devor Fountain Sr.
• Fountains Infusion Center of Little Rock, LLC
• Marcelle Theresa Fournet
• Trenten Foust, MHPP
• Caitlin Cecilia Fowler, APRN
• Christopher Wade Fowler, DO
• Drew Fowler

• Allergy Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.